Organization
OPEN MR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC E VOLUCK (PRESIDENT & COO)
(610) 668-3505
Entity
Organization
Contact information
Practice address
301 E CITY AVE, BALA CYNWYD, PA 19004-1708
(610) 668-3505
(610) 668-3509
Mailing address
301 CITY AVENUE, SUITE G1, BALA CYNWYD, PA 19004-1708
(610) 668-3505
(610) 668-3509
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001415860001
—
PA
Enumeration date
10/11/2005
Last updated
05/13/2011
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